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DFW Nursing & Rehab: Failed to Notify Ombudsman - TX
The social worker could not provide documentation that she contacted the ombudsman....
Latest reports, citations, and penalties from CMS data
The social worker could not provide documentation that she contacted the ombudsman....
The monitoring gaps weren't isolated to one patient....
The resident at The Meadows on Sunset Post Acute required an urgent stool test to detect internal bleeding....
She had been admitted with multiple diagnoses including Parkinson's disease, dementia, and major depressive disorder....
The assaults occurred on October 3, when Resident #3 attacked Resident #2 multiple times....
The violation came to light during a federal complaint inspection completed October 14....
On May 30, 2025, the aide was changing the resident's brief when they positioned the patient on their left side and noticed a stain on the draw sheet....
CNA #4 had been assigned to watch the resident during the evening shift and knew he needed constant supervision....
The resident needed built-up utensils and a plate guard to eat safely....
According to the nursing assistant's written statement, she asked the resident if he wanted ketchup and mustard on his hot dog....
Community Care Center discharged Resident #5 on July 29 after an 11-day stay for rehabilitation following right shoulder replacement surgery....
The October incident unfolded over eight minutes of surveillance video that captured the complete absence of staff supervision in the common areas....
The September 26 incident captured on video at 7:14 p.m....
The October 5th incident at Aviata at St Cloud unfolded when an LPN discovered resident #2 in resident #1's room around 2:30 a.m....
V6, the nursing assistant involved, was preparing the resident around noon on August 16 when the accident occurred....
CNA #118 admitted she forgot to secure the front of Resident #14's wheelchair before departing for a medical appointment on September 24....
Resident 104 weighed 154 pounds in February....
The case centered on Resident #21, who reported bruises on both arms in early November 2024....
When federal inspectors asked Nursing Home Administrator A on October 2 about incidents requiring investigation, the administrator initially deflected....
On October 7 at 5:05 AM, inspectors observed Licensed Practical Nurse V28 in the beauty shop with the lights off, leaned back in a chair, sleeping....